Modesto S Rivera III MD PA
Modesto S Rivera III MD PA is a Clinic/Center in Prnc Frederck, Maryland. Licensed in Maryland. Registered with an NPI since 2010.
- Licensed in
- MD
- In the registry since
- 2010
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
806 Solomons Island Rd NPrnc Frederck, MD 20678-3919
Phone: (410) 535-3424
Fax: (410) 535-4983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence D19963 (MD) |
|---|
Record details
| NPI number | 1922325026 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Modesto Rivera — President · (410) 535-4242 |
| NPI enumerated | April 28, 2010 |
| Last updated in NPPES | April 28, 2010 |
| Mailing address | 806 Solomons Island Rd N, Prnc Frederck, MD 20678-3919 |